County
Lake County Emergency Medical System
Lake County Emergency Medical System (FL) carries 32 drugs across 131 dose entries in its current published protocol, effective 2022-03-01.
The current listed document is more than 24 months old and may be outdated.
Drugs and doses32
Adenosine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| SVT | adult | 6 mg | IV | not captured | standing | page 200 |
| SVT | peds | 0.1 mg/kg | IV | not captured | standing | page 200 |
Albuterol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 2.5 mg | NEB | not captured | standing | page 201 |
| Asthma / bronchospasm | adult | 2.5 mg | NEB | not captured | standing | page 201 |
| Asthma / bronchospasm | peds | 2.5 mg | NEB | not captured | standing | page 201 |
| Asthma / bronchospasm | peds | 2.5 mg | NEB | not captured | standing | page 201 |
| COPD | adult | 2.5 mg | NEB | not captured | standing | page 201 |
| COPD | peds | 2.5 mg | NEB | not captured | standing | page 201 |
Amiodarone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Wide-complex tachycardia | adult | 150 mg | IV | not captured | standing | page 202 |
| Wide-complex tachycardia | peds | 5 mg/kg | IV | not captured | standing | page 202 |
| VF / pulseless VT | adult | 300 mg | IV/IO | not captured | standing | page 202 |
| VF / pulseless VT | adult | 300 mg | IV/IO | not captured | standing | page 202 |
| VF / pulseless VT | peds | 5 mg/kg | IV/IO | not captured | standing | page 202 |
| VF / pulseless VT | peds | 5 mg/kg | IV/IO | not captured | standing | page 202 |
Aspirin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 324 mg | PO | not captured | standing | page 203 |
Atropine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Bradycardia | adult | 0.5 mg | IV/IO | not captured | standing | page 204 |
| Bradycardia | peds | 0.02 mg/kg | IV/IO | not captured | standing | page 204 |
| Organophosphate poisoning | peds | 0.02 mg/kg | IV/IO | not captured | standing | page 204 |
| Other | adult | 0.5 mg | IV/IO | not captured | standing | page 204 |
| Other | peds | 0.02 mg/kg | IV/IO | not captured | standing | page 204 |
Calcium Chloride
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Beta-blocker / calcium-channel-blocker overdose | adult | 1 g | IV/IO | not captured | standing | page 206 |
| Beta-blocker / calcium-channel-blocker overdose | peds | 20 mg/kg | IV/IO | not captured | standing | page 206 |
| Hyperkalemia | adult | 1 g | IV/IO | not captured | standing | page 206 |
| Hyperkalemia | peds | 20 mg/kg | IV/IO | not captured | standing | page 206 |
| Other | adult | 1 g | IV/IO | not captured | standing | page 206 |
| Other | adult | 1 g | IV/IO | not captured | standing | page 206 |
| Other | peds | 20 mg/kg | IV/IO | not captured | standing | page 206 |
| Other | peds | 20 mg/kg | IV/IO | not captured | standing | page 206 |
Dextrose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 2.5 mL/kg | IV | not captured | standing | page 208 |
| Hypoglycemia | peds | 5 mL/kg | IV | not captured | standing | page 208 |
| Other | adult | 2.5 mL/kg | IV | not captured | standing | page 208 |
| Other | peds | 5 mL/kg | IV | not captured | standing | page 208 |
Diltiazem
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Atrial fibrillation with RVR | adult | 0.25 mg/kg | IV | not captured | standing | page 207 |
| Atrial fibrillation with RVR | adult | 0.25 mg/kg | IV | not captured | standing | page 207 |
| SVT | adult | 0.25 mg/kg | IV | not captured | standing | page 207 |
Diphenhydramine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Allergic reaction | adult | 25–50 mg | IV/IO/IM | not captured | standing | page 209 |
| Allergic reaction | peds | 1 mg/kg | IV/IO/IM | not captured | standing | page 209 |
| Dystonic reaction | adult | 25–50 mg | IV/IO/IM | not captured | standing | page 209 |
| Dystonic reaction | peds | 1 mg/kg | IV/IO/IM | not captured | standing | page 209 |
| Other | adult | 25–50 mg | IV/IO/IM | not captured | standing | page 209 |
| Other | peds | 1 mg/kg | IV/IO/IM | not captured | standing | page 209 |
Dopamine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypotension / shock | adult | 5–20 mcg/kg | IV | not captured | standing | page 210 |
| Hypotension / shock | peds | 1–5 mcg/kg | IV | not captured | standing | page 210 |
Epinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Allergic reaction | adult | 0.3–0.5 mg | IM | not captured | standing | page 211 |
| Allergic reaction | peds | 0.01 mg/kg | IM | not captured | standing | page 211 |
| Asthma / bronchospasm | adult | 0.3–0.5 mg | IM | not captured | standing | page 211 |
| Asthma / bronchospasm | peds | 0.01 mg/kg | IM | not captured | standing | page 211 |
| Bradycardia | adult | 2–8 mcg | IV | not captured | standing | page 211 |
| Cardiac arrest | adult | 1 mg | IV/IO | not captured | standing | page 211 |
| Cardiac arrest | peds | 0.01 mg/kg | IV/IO | not captured | standing | page 211 |
Glucagon
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 1 mg | IM | not captured | standing | page 213 |
| Hypoglycemia | peds | 0.1 mg/kg | IM | not captured | standing | page 213 |
| Other | adult | 0.5 mg | IV | not captured | standing | page 213 |
| Other | peds | 0.1 mg/kg | IV | not captured | standing | page 213 |
Haloperidol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 5–10 mg | IM | not captured | standing | page 104 |
Ipratropium
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 0.5 mg | NEB | not captured | standing | page 205 |
| Asthma / bronchospasm | peds | 0.5 mg | NEB | not captured | standing | page 205 |
| COPD | adult | 0.5 mg | NEB | not captured | standing | page 205 |
| COPD | peds | 0.5 mg | NEB | not captured | standing | page 205 |
Ketamine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Post-intubation sedation | adult | 0.5–2 mg/kg | IV/IO | not captured | standing | page 79 |
| Post-intubation sedation | peds | 0.5–2 mg/kg | IV/IO | not captured | standing | page 79 |
| Procedural sedation | adult | 2 mg/kg | IV/IO | not captured | standing | page 79 |
| Procedural sedation | peds | 2 mg/kg | IV/IO | not captured | standing | page 79 |
Labetalol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 5 mg | IV | not captured | standing | page 98 |
Lidocaine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 40 mg | IO | not captured | standing | page 218 |
| Mild to moderate pain | peds | 0.5 mg/kg | IO | not captured | standing | page 218 |
Lorazepam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 1–2 mg | IV/IM | not captured | standing | page 232 |
| Agitation | peds | 0.05 mg/kg | IV/IM | not captured | standing | page 232 |
| Other | adult | 1–2 mg | IV/IM | not captured | standing | page 232 |
| Other | peds | 0.05 mg/kg | IV/IM | not captured | standing | page 232 |
| Procedural sedation | adult | 1–2 mg | IV/IM | not captured | standing | page 232 |
| Procedural sedation | peds | 0.05 mg/kg | IV/IM | not captured | standing | page 232 |
| Status epilepticus | adult | 1–2 mg | IV/IM | not captured | standing | page 232 |
| Status epilepticus | peds | 0.05 mg/kg | IV/IM | not captured | standing | page 232 |
Magnesium Sulfate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Eclampsia / pre-eclampsia | adult | 4 g | IV | not captured | standing | page 154 |
| Eclampsia / pre-eclampsia | adult | 4–5 g | IV | not captured | standing | page 154 |
| Other | adult | 1–2 g | IV | not captured | standing | page 82 |
| Other | peds | 25–75 mg/kg | IV | not captured | standing | page 82 |
| VF / pulseless VT | adult | 1–2 g | IV/IO | not captured | standing | page 68 |
| VF / pulseless VT | peds | 50 mg/kg | IV/IO | not captured | standing | page 68 |
Methylprednisolone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Allergic reaction | adult | 125 mg | IV/IM | not captured | standing | page 228 |
| Allergic reaction | peds | 2 mg/kg | IV/IM | not captured | standing | page 228 |
| Asthma / bronchospasm | adult | 125 mg | IV/IM | not captured | standing | page 228 |
| Asthma / bronchospasm | peds | 2 mg/kg | IV/IM | not captured | standing | page 228 |
| COPD | adult | 125 mg | IV/IM | not captured | standing | page 228 |
| COPD | peds | 2 mg/kg | IV/IM | not captured | standing | page 228 |
Midazolam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Procedural sedation | peds | 0.1 mg/kg | IV | not captured | standing | page 220 |
| Seizure | adult | 5–15 mg | IV/IM | not captured | standing | page 106 |
| Seizure | peds | 0.1 mg/kg | IV/IM | not captured | standing | page 106 |
Morphine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 2 mg | IV/IM | not captured | standing | page 232 |
| ACS / chest pain | peds | 0.1 mg/kg | IV/IM | not captured | standing | page 232 |
| Burns | adult | 2 mg | IV/IM | not captured | standing | page 232 |
| Burns | peds | 0.1 mg/kg | IV/IM | not captured | standing | page 232 |
| Other | adult | 2 mg | IV/IM | not captured | standing | page 232 |
| Other | adult | 2 mg | IV/IM | not captured | standing | page 232 |
| Other | peds | 0.1 mg/kg | IV/IM | not captured | standing | page 232 |
| Other | peds | 0.1 mg/kg | IV/IM | not captured | standing | page 232 |
Naloxone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Opioid overdose | adult | 0.4–2 mg | IV/IM | not captured | standing | page 221 |
| Opioid overdose | adult | 0.4–2 mg | IV/IM | not captured | standing | page 221 |
| Opioid overdose | peds | 0.1 mg/kg | IV/IM | not captured | standing | page 221 |
| Opioid overdose | peds | 0.1 mg/kg | IV/IM | not captured | standing | page 221 |
Nerve Agent Antidote Kit
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Organophosphate poisoning | adult | 2.1 mg | IM | not captured | standing | page 147 |
Nitroglycerin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 0.4 mg | SL | not captured | standing | page 222 |
| ACS / chest pain | adult | 0.4 mg | SL | not captured | standing | page 222 |
Norepinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypotension / shock | peds | 0.1 mcg/kg | IV | not captured | standing | page 59 |
Ondansetron
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nausea / vomiting | adult | 4 mg | IV/IM/ODT | not captured | standing | page 84 |
| Nausea / vomiting | adult | 4 mg | IV/IM/ODT | not captured | standing | page 84 |
| Nausea / vomiting | peds | 2 mg | IV/IM/ODT | not captured | standing | page 84 |
| Nausea / vomiting | peds | 2 mg | IV/IM/ODT | not captured | standing | page 84 |
Oral Glucose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 15–45 g | PO | not captured | standing | page 223 |
| Hypoglycemia | peds | 5–45 g | PO | not captured | standing | page 223 |
| Other | adult | 15–45 g | PO | not captured | standing | page 223 |
| Other | peds | 5–45 g | PO | not captured | standing | page 223 |
Rocuronium
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| RSI induction | adult | 1 mg/kg | IV/IO | not captured | standing | page 225 |
| RSI induction | adult | 1 mg/kg | IV/IO | not captured | standing | page 225 |
| RSI induction | peds | 1 mg/kg | IV/IO | not captured | standing | page 225 |
| RSI induction | peds | 1 mg/kg | IV/IO | not captured | standing | page 225 |
Sodium Bicarbonate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cardiac arrest | adult | 1 mEq/kg | IV/IO | not captured | standing | page 226 |
| Cardiac arrest | peds | 1 mEq/kg | IV/IO | not captured | standing | page 226 |
| Hyperkalemia | adult | 1 mEq/kg | IV/IO | not captured | standing | page 226 |
| Hyperkalemia | peds | 1 mEq/kg | IV/IO | not captured | standing | page 226 |
| Other | adult | 1 mEq/kg | IV/IO | not captured | standing | page 226 |
| Other | peds | 1 mEq/kg | IV/IO | not captured | standing | page 226 |
| Tricyclic overdose | adult | 1 mEq/kg | IV/IO | not captured | standing | page 226 |
| Tricyclic overdose | peds | 1 mEq/kg | IV/IO | not captured | standing | page 226 |
Succinylcholine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| RSI induction | adult | 1–2 mg/kg | IV | not captured | standing | page 229 |
| RSI induction | adult | 1–2 mg/kg | IV | not captured | standing | page 229 |
| RSI induction | peds | 2 mg/kg | IV | not captured | standing | page 229 |
| RSI induction | peds | 2 mg/kg | IV | not captured | standing | page 229 |
Tranexamic Acid
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Trauma / hemorrhage | adult | 1 g | IV | not captured | standing | page 131 |
| Trauma / hemorrhage | peds | 15 mg/kg | IV | not captured | standing | page 131 |